Provider Demographics
NPI:1699273961
Name:NAMVAR, SAHAR (FNP)
Entity type:Individual
Prefix:
First Name:SAHAR
Middle Name:
Last Name:NAMVAR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:SAHAR
Other - Middle Name:
Other - Last Name:NAMVAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:12900 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-5266
Mailing Address - Country:US
Mailing Address - Phone:951-222-3110
Mailing Address - Fax:
Practice Address - Street 1:12900 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-5266
Practice Address - Country:US
Practice Address - Phone:951-222-3110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007620207Q00000X
CA9507620207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine